Individual
LISA GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12 ENGREM AVE, RUTLAND, VT 05701-4518
(802) 282-6302
Mailing address
PO BOX 222, RUTLAND, VT 05702-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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